Individual
DR. SUSAN MONTEMAYOR PEREZ DE TAGLE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 TUSKEGEE BLVD, DOVER, DE 19902-5300
(302) 677-2525
Mailing address
3529 HAWTHORNE DR, DOVER, DE 19901-5332
(302) 363-9293
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
168662-1
NY
Other
Enumeration date
12/23/2005
Last updated
07/08/2007
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